Individual provider Active NPI

Martha Lee Ljung, MD

  • Emergency Medicine Physician
  • Wilmington, NC
National Provider Identifier
1457356636
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36379 Issued in NC
Practice address
3710 Shipyard Boulevard
Wilmington, NC 28403
Phone
(910) 452-1400
Fax
(910) 332-1072
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36379 NC Primary

Addresses

Primary practice location

3710 Shipyard Boulevard
Wilmington, NC 28403

Mailing address

3710 Shipyard Boulevard
Wilmington, NC 28403
Phone (910) 452-1400

Other identifiers 7

IdentifierTypeStateIssuer
52339OtherNCBCBS
8952339MedicaidNC
01-28704OtherNCUNITED HEALTHCARE
930085802OtherNCRAILROAD MEDICARE
B4547OtherNCMEDCOST
930086667OtherNCRAILROAD MEDICARE
Q36379MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000607 NC Practitioner - Emergency Medicine 0547283236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medac Health Services, PA Emergency Medicine CurrentSince Feb 1, 2000 Accepting new patients
Medac Health Services, PA Emergency Medicine CurrentSince Feb 1, 2000 Accepting new patients
Wilmington Health PLLC Past Accepting new patients
Augusta Emergency Physicians, LTD Emergency Medicine Past Accepting new patients

Locations

8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088

4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

5245 College Rd S
Wilmington, NC 28412
Phone (910) 347-1515

1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

3710 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1457356636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SHIPYARD BOULEVARD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-452-1400",
            "fax_number": "910-332-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SHIPYARD BOULEVARD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-452-1400",
            "fax_number": "910-332-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LJUNG",
        "first_name": "MARTHA",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "36379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52339",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952339",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-28704",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930085802",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B4547",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930086667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q36379",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.